台灣中醫界對推動中醫專科醫師訓練制度看法之研究

為能建立完整的中醫師訓練制度，透過本研究了解中醫各界對推動中醫專科醫師訓練制度的看法，經過良性溝通以凝聚共識，進而強化中醫醫療照護品質。以全台灣執業中醫師及(後)中醫系學生為對象，於民國104年4月至同年8月間進行問卷抽樣調查，共發出1,390份問卷，回收有效問卷共344份(24.7％)。醫師同意平均分數(3.65±0.88)較學生(2.86±0.93)高，醫師族群間年齡及臨床年資越高、主管及主治醫師、博士學歷、中醫兒科醫師同意度較高，診所及醫院醫師或中醫特考及格、(學士後)中醫系高考及格醫師皆傾向同意本議題;醫師及學生皆認為優先辦理中醫資深住院醫師訓練的科別依序為:中醫內科(36.1%及37.5%)、針灸科(27.8%及27.0%)、中醫傷科(16.7%及17.5%)、中醫婦科(15.9%及15.6%)、中醫兒科(3.5%及2.4%)；醫師(2.59±1.10)與學生(1.89±1.02)皆認為目前國內尚未有推動「中醫資深住院醫師訓練制度」的醫療環境條件。醫師同意度較高，年齡、臨床年資、身份、最高學歷及執業科別是影響看法的關鍵因素，而執業地點及醫師資格取得方式之間則無差異;中醫內科和針灸科最可優先推動，但多數受訪者擔憂目前訓練場所尚未臻完整，整體對專科醫師訓練能量尚不足，貿然推動將造成不良影響，說明此一議題仍存在疑慮，需要對中醫各界更進一步的說明與溝通。

關鍵字

中醫；專科醫師；住院醫師；臨床訓練；醫學教育

並列摘要

The purpose is to complete the traditional Chinese physician training system, through the research to understand the view of promote Chinese medicine specialist training system in traditional Chinese medicine circle. Through communication in order to build consensus, which may further enhance the quality of Chinese medical care. The ways of researching are questionnaires and surveys for all the traditional Chinese physician and students (including the students of Chinese medicine for post baccalaureate) in April to August 2014. The research issued a total of 1,390 survey questionnaires, and recovered a total of 344(24.7%) questionnaires. The result of the research for the TCM experts and students in the topic of the attitude, we found that doctors agreed to higher average score (3.65± 0.88) than students(2.86± 0.93), also the group of higher age and experience in clinical, director, attending physician, doctoral degree, and TCM pediatricians agree more. The doctor working in Clinics and hospitals or pass the TCM special exam, pass the TCM Civil Service Examination ( including the students of Chinese medicine for post baccalaureate) all agree to promote the system; most of the doctors and students agree arranged the divisions in the order of time to Handling TCM senior residency training system is below, TCM Internal Medicine(36.1%, 37.5%)、Acupuncture (27.8%, 27.0%)、Chinese Traumatology (16.7%, 17.5%)、 TCM Gynecology(15.9%, 15.6%)、TCM Pediatrics (3.5%, 2.4%); doctors(2.59±1.10) and students(1.89±1.02) agree that medical environment conditions for promote senior Chinese medicine residency training system still not yet well enough. The Conclusion of the research is most of the doctor agree to promote specialist training system in TCM, The key factor are different age, clinical seniority, status, highest level of education and different divisions. Location and doctors' qualifications obtained are no difference. According to the questionnaires and surveys, the priority Divisions to promote the system will be the TCM Internal Medicine and Acupuncture. But the majority of respondents worried about the current training places have not yet attained complete, the overall resources of specialist training is still inadequate, hastily promoting the system will cause adverse effects, indicating that this issue is still in doubt, which give TCM circle further explanation and communication is needed.